Dilemmas of Ambulance Doctors' Professionalism in the Context of Healthcare Reform

Within the framework of the master's thesis, the focus is on the ideas and ideologies of the professionalism of Ambulance Doctors, which in the most General form can be formulated as an understanding by different agents of the system of how medical practice should be organized. In the course of the work will be compared the ideas of professionalism, on the one hand, laid down by the developers of the reform, and ordinary ambulance doctors, on the other. On the basis of a series of semi-structured interviews with emergency medical workers and secondary analysis of official statistics and sample studies the changes in the discourse of professionalism of Ambulance Doctors are analyzed. The study showed that the idea of who is a true professional," good " or " bad " doctor is not the same in different stakeholders of the health care system. Sometimes the requirements to the ambulance doctor, broadcasted by the state and the market, come into conflict with the ideas of physicians about professionalism. This situation creates internal and external conflicts and contradictions.